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Sex Differences in Clinical Pain: A Multisample Study

  • Michael E. Robinson
  • Emily A. Wise
  • Joseph L. Riley III
  • James W. Atchison
Article

Abstract

A recent meta-analysis of the experimental pain literature revealed effect sizes of .55 for pain threshold and .57 for pain tolerance, indicating a moderate difference in pain perception between men and women, with women reporting an increased sensitivity to pain. The current study investigated the relationship between sex and clinical pain ratings, in patients seeking care at a tertiary care facility. Five samples of chronic pain patients were recruited from several diverse clinics associated with the University of Florida. Analyses of clinical pain ratings revealed similar effect sizes for all samples, ranging from −.07 to −.25, indicating small differences, with women reporting higher levels of clinical pain. This is the first paper to report effect sizes for differences in report of pain in samples of chronic pain patients presenting for treatment at a tertiary care facility.

chronic pain sex differences 

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REFERENCES

  1. Berkley, K. J. (1995). From psychophysics to the clinic? Pain Forum, 4, 225–227.Google Scholar
  2. Berkley, K. J. (1997). Sex differences in pain. Behavioral Brain Science, 20, 371–380.Google Scholar
  3. Brown, F. F., Robinson, M. E., Riley, J. L., Gremillion, H. A., & Benson, M. (1997). Psychometric properties of a magnitude matching task using pressure algometry. Presented at the meeting of the American Pain Society, New Orleans, LA.Google Scholar
  4. Buchelew, S. P., Shutty, M. S., Hewitt, J., Landon, T., Morrow, K., & Frank, R. G. (1990). Health locus of control, gender differences and adjustment to persistent pain. Pain, 42, 287–295.Google Scholar
  5. Bush, F. M., Harkins, S.W., Harrington, W. G., & Price, D. D. (1993). Analysis of gender effects on pain perception and symptom presentation in temporomandibular pain. Pain, 53, 73–80.Google Scholar
  6. Cleeland, C. S., Gonin, R., Hatfield, A. K., Edmonson, J. H., Blum, R. H., Stewart, J. A., & Pandya, K. J. (1994). Pain and its treatment in outpatients with metastatic cancer. New England Journal of Medicine, 330, 592–596.Google Scholar
  7. Cohen, F. (1980). Post-surgical pain relief: Patient's status and nurse's medication choice. Pain, 9, 265–274.Google Scholar
  8. Ellermeier W., & Westphal W. (1995). Gender differences in pain ratings and pupil reactions to painful pressure stimuli. Pain, 61, 435–439.Google Scholar
  9. Feine, J. S., Bushnell, M. C., Miron, D., & Duncan, G. H. (1991). Sex differences in the perception of noxious heat stimuli. Pain, 44, 255–262.Google Scholar
  10. Fillingim, R. B., & Maixner, W. (1995). Gender differences in the responses to noxious stimuli. Pain Forum, 4(4), 209–221.Google Scholar
  11. Fuller, A. K., & Robinson, M. E. (1995). Perceptual differences between patients with chronic low back pain and healthy volunteers using magnitude matching and clinically relevant stimuli. Behavior Therapy, 26, 241–253.Google Scholar
  12. Heft, M. W. (1983). Prevalence of TMJ signs and symptoms in the elderly. Gerodontics, 3, 125–130.Google Scholar
  13. Holroyd, K. A., Talbot, F., Holm, J. E., Pingel, J. D., Lake, A. E., & Saper, J. R. (1996). Assessing the dimensions of pain: a multitrait-multimethod evaluation of seven measures. Pain, 67, 259–265.Google Scholar
  14. Kerns, R. D., Turk, D. C., & Rudy, T. E. (1985). The West Haven-Yale Multidimensional Pain Inventory (WHYMPI). Pain, 23, 345–356.Google Scholar
  15. Lander, J., Fowler-Kerry, S., & Hill, A. (1990). Comparison of pain perceptions among males and females. Canadian Journal of Nursing Research, 22, 39–49.Google Scholar
  16. Maixner, W., & Humphrey, C. (1993). Gender differences in pain and cardiovascular responses to forearm ischemia. Clinical Journal of Pain, 2, 16–25.Google Scholar
  17. McCaffery, M., & Ferrell, B.R. (1992). Does the gender gap affect your pain-control decisions? Nursing, 92(8), 48–51.Google Scholar
  18. Melzack, R. (1975). The McGill Pain Questionnaire: major properties and scoring methods. Pain, 1, 277–299.Google Scholar
  19. Melzack R., & Katz, J. (1992) The McGill Pain Questionnaire: Appraisal and current status. In R. Melzack & D. C. Turk (Eds.), Handbook of pain assessment. New York: Guilford.Google Scholar
  20. Melzack, R., & Wall, P. D. (1988). The challenge of pain (2nd ed.). London: Penguin Books.Google Scholar
  21. Riley, J. L., Gilbert, G. H., & Heft, M. W. (1998). Orofacial pain symptom prevalence: Selected sex differences in the elderly? Pain, 76, 97–104.Google Scholar
  22. Riley, J. L., Robinson, M. E., Wise, E. A, Myers, C. D., & Fillingim, R. B. (1998). Sex differences in the perception of noxious experimental stimuli: A meta-analysis. Pain, 74, 181–187.Google Scholar
  23. Scarr, S. (1997). Rules of evidence: A larger context for the statistical debate. Psychological Science, 8, 16–17.Google Scholar
  24. Unruh, A. M. (1996). Review article: Gender variations in clinical pain experience. Pain, 65, 123–167.Google Scholar
  25. Vallerand, A. H. (1995). Gender differences in pain. Image: Journal of Nursing Scholarship, 27, 235–237.Google Scholar
  26. Verbrugge, L. M. (1985). Gender and health: An update on hypotheses and evidence. Journal of Health and Social Behavior, 26, 156–182.Google Scholar
  27. Von Korff, M., Ormel, J., Keefe, F. J., & Dworkin, S. F. (1992). Grading the severity of chronic pain. Pain, 50, 133–149.Google Scholar
  28. Williams, D. A., Robinson, M. E., & Geisser, M. E. (1994). Pain beliefs: assessment and utility. Pain, 59, 71–78.Google Scholar
  29. Wilson, L., Dworkin, S. F., Whitney, C., & LeResche, L. (1994). Somatization and pain dispersion in chronic temporomandibular disorder pain. Pain, 57, 55–61.Google Scholar

Copyright information

© Plenum Publishing Corporation 1998

Authors and Affiliations

  • Michael E. Robinson
    • 1
  • Emily A. Wise
    • 1
  • Joseph L. Riley III
    • 1
    • 2
  • James W. Atchison
    • 3
  1. 1.Department of Clinical and Health Psychology, College of Health ProfessionsUniversity of FloridaGainesville
  2. 2.Claude Pepper Center for Research of Oral Health in Aging, College of DentistryUniversity of FloridaGainesville
  3. 3.Department of OrthopaedicsUniversity of FloridaGainesville

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